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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Tendon Transfers for Radial Nerve Palsy

Nerve Reconstruction

A 45-year-old man presents 1 year after a closed humeral shaft fracture with persistent wrist and finger drop. EMG/NCS confirm complete radial nerve palsy with no recovery. He cannot extend his wrist, fingers, or thumb. Wrist flexion and grip strength are normal. The surgeon is planning tendon transfers. Regarding tendon transfers for radial nerve palsy:

Mark each as TRUE or FALSE

A

High radial nerve palsy (above elbow) results in loss of wrist extension (ECRL, ECRB, ECU), finger M...

B

The classic Jones transfer uses: pronator teres (PT) to ECRB for wrist extension, flexor carpi ulnar...

C

Radial nerve palsy eliminates wrist flexion; finger IP extension is lost; the intrinsic muscles are ...

D

Principles of tendon transfer include: donor muscle must be expendable, have adequate strength (one ...

E

Post-operative management includes immobilization in wrist extension for 4 weeks, followed by protec...

Answer the questions to see explanations

Click T (True) or F (False) for each option